Nursing home

The Heights of Bulverde

384 Harmony Hills, Spring Branch, TX, 78070

CMS ownership records associate this facility with Touchstone Communities · For profit - Corporation.

CMS overall rating
CMS overall rating: 1 out of 51of 5

At a glance

CMS reports a 1-star overall rating for The Heights of Bulverde, with 46 inspection citations on record (1 higher severity). No federal fine or payment-denial records appear in the current dataset.
CMS overall
1
of 5
Health inspection
2
of 5
Staffing
1
of 5
Quality measures
4
of 5
Certified beds
124
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall1 of 5
Health inspection2 of 5
Staffing1 of 5
Quality measures4 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 1
15
Comal Co. avg 2.17Texas avg 2.7This facility
This facility: 1 of 5. Comal Co. avg: 2.17. Texas avg: 2.7.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

46
Citations on record
1
Higher severity (G–L)
24
From complaints
0
Infection control
Citations by inspection year
42023
192024
222025
12026
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

No federal penalty records are included in this data for this facility.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)7.88%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)2.95%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)4.53%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Uvalde County Hospital Authority5% OR GREATER DIRECT OWNERSHIP INTEREST
Frost Bank5% OR GREATER SECURITY INTEREST
Apolinar, AdamCORPORATE OFFICER
Touchstone Strategies - Bulverde LLCOPERATIONAL/MANAGERIAL CONTROL
Campbell, LeslieOPERATIONAL/MANAGERIAL CONTROL
Castillo, LynneaOPERATIONAL/MANAGERIAL CONTROL
Clayton, JonathonOPERATIONAL/MANAGERIAL CONTROL
Dentino, AndrewOPERATIONAL/MANAGERIAL CONTROL
Hackett, EdwardOPERATIONAL/MANAGERIAL CONTROL
Prado, AaronOPERATIONAL/MANAGERIAL CONTROL
Sehlke, BryonOPERATIONAL/MANAGERIAL CONTROL
Zurovec, DarrellOPERATIONAL/MANAGERIAL CONTROL
Aegis Therapies, Inc.ADP OF THE SNF
Alamo Advisors LPADP OF THE SNF
Carvajal Pharmacy LtcADP OF THE SNF
Nutritious Lifestyles, Inc.ADP OF THE SNF
Plante & MoranADP OF THE SNF
The Bryon and Rena Sehlke Living TrustADP OF THE SNF
Touchstone Communities IncADP OF THE SNF
Touchstone Realty - Bulverde LLCADP OF THE SNF
Touchstone Strategies - Bulverde LLCADP OF THE SNF
Trident Health Services IncADP OF THE SNF
Campbell, LeslieADP OF THE SNF
Castillo, LynneaADP OF THE SNF
Clayton, JonathonADP OF THE SNF
Dentino, AndrewADP OF THE SNF
Fellbaum, ErnestADP OF THE SNF
Hackett, EdwardADP OF THE SNF
Prado, AaronADP OF THE SNF
Sehlke, BryonADP OF THE SNF
Studer, StanleyADP OF THE SNF
Zurovec, DarrellADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Comal County.

384 Harmony Hills, Spring Branch
Comal County · TX · 78070
124 certified beds29.8070, -98.4220

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Avir at Beaumont
CCN 455001
Beaumont, TX121Shown$52,494
Avir at New Braunfels
CCN 455020
New Braunfels, TX112Not shown$147,263
Baylor Scott & White Continuing Care Hospital Skil
CCN 455069
Temple, TX555Not shown$0
Knopp Healthcare and Rehab Center Inc
CCN 455278
Fredericksburg, TX443Not shown$0
Sharpville Residence and Rehabilitation Center
CCN 455333
Houston, TX443Not shown$8,431
Legacy Nursing and Rehabilitation
CCN 455351
Bryan, TX222Not shown$12,375

Related research

Frequently asked questions

What is The Heights of Bulverde's CMS rating?

The Heights of Bulverde has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 2 for health inspections, 1 for staffing, and 4 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is The Heights of Bulverde located?

The Heights of Bulverde is located at 384 Harmony Hills, Spring Branch, TX, 78070 in Comal County, and CMS lists 124 certified beds.

Does The Heights of Bulverde have federal penalties or payment denials on record?

The current CMS data shows no federal penalty amounts or payment denials for The Heights of Bulverde over roughly the past three years. Records can change; confirm current status on CMS Care Compare.

How does The Heights of Bulverde's rating compare to nearby facilities?

The Heights of Bulverde's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 2.17 across 6 facilities in Comal County, and 2.7 across Texas. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify The Heights of Bulverde's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm The Heights of Bulverde's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
676418
Ownership type
For profit - Corporation
Certified beds
124
Data snapshot
2026-07-17
All 46 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Jan 13, 20260880DComplaintDeficient, Provider has date of correctionJan 14, 2026
Dec 10, 20250603DComplaintDeficient, Provider has date of correctionDec 11, 2025
Dec 10, 20250842EComplaintDeficient, Provider has date of correctionDec 11, 2025
Dec 10, 20250880DComplaintDeficient, Provider has date of correctionDec 11, 2025
Dec 9, 20250641DComplaintDeficient, Provider has date of correctionDec 10, 2025
Dec 9, 20250690DComplaintDeficient, Provider has date of correctionDec 10, 2025
Dec 9, 20250842EComplaintDeficient, Provider has date of correctionDec 10, 2025
Jun 25, 20250552DStandardDeficient, Provider has date of correctionJun 26, 2025
Jun 25, 20250578DStandardDeficient, Provider has date of correctionJun 26, 2025
Jun 25, 20250656DStandardDeficient, Provider has date of correctionJun 26, 2025
Jun 25, 20250759DStandardDeficient, Provider has date of correctionJun 26, 2025
Jun 25, 20250761DStandardDeficient, Provider has date of correctionJun 26, 2025
Jun 25, 20250812EStandardDeficient, Provider has date of correctionJun 26, 2025
Jun 25, 20250842DStandardDeficient, Provider has date of correctionJun 26, 2025
Jun 25, 20250880DStandardDeficient, Provider has date of correctionJun 26, 2025
Apr 24, 20250641DComplaintDeficient, Provider has date of correctionApr 25, 2025
Apr 24, 20250842EComplaintDeficient, Provider has date of correctionApr 25, 2025
Apr 19, 20250842EComplaintDeficient, Provider has date of correctionApr 20, 2025
Mar 21, 20250609DComplaintDeficient, Provider has date of correctionMar 22, 2025
Mar 21, 20250610DComplaintDeficient, Provider has date of correctionMar 22, 2025
Mar 21, 20250656DComplaintPast Non-ComplianceDec 24, 2024
Mar 21, 20250689JComplaintDeficient, Provider has date of correctionMar 22, 2025
Mar 21, 20250880DComplaintDeficient, Provider has date of correctionMar 22, 2025
Jul 22, 20240656DComplaintDeficient, Provider has date of correctionJul 23, 2024
Jul 22, 20240755DComplaintDeficient, Provider has date of correctionJul 23, 2024
Showing the 25 most recent of 46 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.